Nebraska Property Disclosure Statement

Seller Property Condition Disclosure Statement

Property Address: [[Property Full Address]], [[City]], Nebraska [[ZIP Code]]
Legal Description (if known): [[Legal Description or "See attached"]]

Seller Name(s): [[Seller Full Name(s)]]
Seller Address (if different): [[Seller Mailing Address]]

Buyer Name(s): [[Buyer Full Name(s)]]
Date of Disclosure: [[Disclosure Date]]
Year Built: [[Year Built]]

IMPORTANT NOTICE

Pursuant to Neb. Rev. Stat. § 76-2,120, every seller of residential real property located in Nebraska that consists of at least one and not more than four dwelling units must provide the purchaser with a written disclosure statement of the property's condition. The disclosure must be delivered to the purchaser prior to the purchaser entering into any contract that would bind the purchaser to purchase the property.

This statement is not a warranty. It is a disclosure of the seller's actual knowledge of the property's condition as of the date signed. The buyer is encouraged to obtain professional inspections.

All user-supplied variable information is shown as `[[Token Name]]` placeholders., -

1. Mandatory Disclosure Requirement, Neb. Rev. Stat. § 76-2,120

This disclosure is required for the sale or transfer of residential real property with 1 to 4 dwelling units.

Seller must disclose all known material defects and facts affecting the property of which Seller has actual knowledge. "Known" means facts of which the Seller has actual personal knowledge, not what the Seller "should have known."

Failure to disclose known material facts can result in liability for actual damages, attorney fees, and other remedies. An action must generally be commenced within one year after the buyer takes possession or receives the deed, whichever occurs first.

Seller Certification

I/We, the undersigned Seller(s), certify that the information in this disclosure is true and complete to the best of my/our actual knowledge as of the date signed.

Seller Initials: _______ / _______ Date: [[Disclosure Date]], -

2. Exempt Transactions

The following transactions are generally exempt from the mandatory seller disclosure requirement under Nebraska law. Check all that apply to this transaction.

• [ ] Foreclosure sale or transfer by a lender or trustee after foreclosure
• [ ] Sale of new construction that has never been occupied as a residence
• [ ] Court-ordered sale (e.g., probate, divorce, bankruptcy, guardianship)
• [ ] Transfer by a fiduciary in the administration of an estate, guardianship, or conservatorship
• [ ] Transfer between co-owners or to a spouse or former spouse in connection with divorce or separation
• [ ] Transfer to or from any governmental entity
• [ ] Transfer of property acquired by a lender through foreclosure that is resold within a short period under certain conditions
• [ ] Other exempt transfer: [[Describe if applicable]]

If this transaction is exempt, Seller is not required to complete the detailed condition sections below, but must still provide any other legally required disclosures (e.g., lead-based paint)., -

3. Structural and Foundation Systems

Foundation / Basement / Crawlspace / Slab
- Known cracks, settling, heaving, or movement in foundation or walls: [[Yes / No / Unknown]]
Details and locations: [[Describe or "None known"]]
- Known water intrusion, seepage, or dampness in basement or crawlspace: [[Yes / No / Unknown]]
Details and frequency: [[Describe]]
- Known structural repairs, engineering reports, or reinforcements: [[Yes / No / Unknown]]
Details and dates: [[Describe or attach reports]]

Roof and Attic
- Approximate age of roof covering: [[Age in years or "Unknown"]]
- Known leaks, missing shingles, damage, or repairs: [[Yes / No / Unknown]]
Details: [[Describe or "None known"]]
- Known problems with attic ventilation, insulation, or ice dams: [[Yes / No / Unknown]]

Exterior Walls, Windows, Doors
- Known defects in siding, brick, stucco, or exterior finish: [[Yes / No / Unknown]]
- Known problems with windows or doors (seals, operation, water intrusion): [[Yes / No / Unknown]], -

4. Mechanical, Electrical, Plumbing, and HVAC Systems

Heating and Cooling (HVAC)
- Type of heating system: [[Forced air gas / Electric / Heat pump / Boiler / Other / Unknown]]
- Type of cooling system: [[Central AC / Window units / None / Unknown]]
- Known defects, failures, or recent repairs to HVAC: [[Yes / No / Unknown]]
Details: [[Describe]]

Electrical System
- Known problems with electrical service, panels, wiring (including aluminum or knob-and-tube), outlets, or GFCI/AFCI protection: [[Yes / No / Unknown]]
Details: [[Describe]]

Plumbing System
- Known leaks, low pressure, drain problems, or pipe material issues (galvanized, polybutylene, etc.): [[Yes / No / Unknown]]
Details: [[Describe]]
- Water heater age and condition: [[Describe or "Unknown"]]
- Known private well or septic system issues (if applicable): [[Yes / No / N/A / Unknown]]
Details: [[Describe]], -

5. Environmental and Natural Conditions

Water and Moisture
- Known flooding, drainage problems, or water standing on the property: [[Yes / No / Unknown]]
Details: [[Describe]]
- Known mold, mildew, or moisture issues beyond ordinary bathroom surfaces: [[Yes / No / Unknown]]
Details and remediation: [[Describe]]

Environmental Hazards
- Known presence or prior use of hazardous materials, asbestos, lead paint (beyond federal disclosure), underground storage tanks, or contamination: [[Yes / No / Unknown]]
Details: [[Describe or "None known"]]
- Property located in a flood zone or known flood-prone area: [[Yes / No / Unknown]]
Flood insurance required or in force: [[Yes / No / Unknown]]

Pests and Wood-Destroying Insects
- Known current or past infestation or damage by termites, carpenter ants, or other wood-destroying insects: [[Yes / No / Unknown]]
Details and treatment history: [[Describe]]

Radon, Soil, or Other
- Known radon testing results or mitigation: [[Yes, results / No testing / Mitigation installed]]
- Known soil, settling, or erosion issues: [[Yes / No / Unknown]], -

6. Legal, Title, and Other Conditions

- Known violations of building codes, zoning, or HOA rules: [[Yes / No / Unknown]]
Details: [[Describe]]
- Known easements, encroachments, boundary disputes, or shared driveway / well / septic agreements: [[Yes / No / Unknown]]
Details: [[Describe]]
- Known pending or threatened legal actions, liens, or assessments affecting the property: [[Yes / No / Unknown]]
- HOA / Condominium / PUD: [[Yes, attach docs / No]]
Known special assessments, dues issues, or pending major repairs: [[Describe or "None known"]]
- Any other material facts or conditions that may affect the buyer's decision to purchase: [[Describe or "None known"]], -

7. Lead-Based Paint Disclosure (Federal, Required if Built Before 1978)

Year Built: [[Year Built]]

If the property was built before 1978:

- Seller has actual knowledge of lead-based paint and/or lead-based paint hazards in the housing: [[Yes / No / Built 1978 or later, N/A]]
If yes, describe known locations: [[Describe]]

- Seller has provided buyer with all available records and reports pertaining to lead-based paint/hazards: [[Yes / No / N/A]]
List of records provided: [[List or "None"]]

Buyer acknowledges receipt of the EPA pamphlet "Protect Your Family From Lead in Your Home" and the opportunity to conduct a lead inspection or risk assessment.

Buyer Initials: _______ Date: _______, -

8. Buyer Rescission Right

Buyer has the right to rescind any contract to purchase the property within five (5) business days after receipt of this completed disclosure statement (or longer if provided by the purchase agreement or other law). To rescind, Buyer must deliver written notice to Seller within the period.

Seller acknowledges that Buyer received this disclosure on: [[Date Buyer Received Disclosure]], -

9. Attachments and Additional Disclosures

The following are attached or have been provided separately:

• [ ] Current Seller Property Condition Disclosure form (official or this equivalent)
• [ ] Lead-Based Paint Disclosure and pamphlet (pre-1978)
• [ ] HOA/condo documents, bylaws, financials, and meeting minutes (if applicable)
• [ ] Recent inspection reports, repair invoices, or engineering reports: [[List or "None"]]
• [ ] Other: [[Describe]], -

10. Seller and Buyer Acknowledgments (Numbered)

1. Seller has disclosed all known material defects of which Seller has actual knowledge.

2. This disclosure is not a substitute for professional inspections by qualified inspectors.

3. Buyer should carefully review this statement and conduct independent due diligence, including inspections of structural, mechanical, environmental, and title conditions.

4. Buyer acknowledges receipt of this statement prior to signing any binding purchase contract.

5. Any material changes in the property's condition after the date of this disclosure but before closing must be disclosed promptly by Seller., -

SIGNATURES

SELLER(S)

Signature: ________________________________________ Date: [[Date]]

Printed Name: [[Seller Full Name(s)]]

Signature: ________________________________________ Date: [[Date]]

Printed Name: [[Co-Seller Full Name if applicable]]

BUYER ACKNOWLEDGMENT OF RECEIPT

Buyer acknowledges receipt of this Property Disclosure Statement on [[Date Received]].

Buyer Signature: ________________________________________ Date: [[Date]]

Printed Name: [[Buyer Full Name(s)]], -

Template example, not professional (legal/financial/medical) advice. This statement is a sample disclosure form. Sellers must complete it accurately based on actual knowledge. Buyers must verify all information and obtain inspections. Requirements and remedies are governed by Neb. Rev. Stat. § 76-2,120 and related law. Consult a licensed Nebraska real estate attorney or agent. Current as of June 2026., -

*End of Nebraska Property Disclosure Statement*